Infant posture and caregiver‐provided cognitive opportunities in typically developing infants and infants with motor delay

Kretch, Kari S.; Koziol, Natalie A.; Marcinowski, Emily C.; Kane, Audrey E.; Inamdar, Ketaki; Brown, Elena Donoso; Bovaird, James A.; Harbourne, Regina T.; Hsu, Lin‐Ya; Lobo, Michele A.; Dusing, Stacey C.

doi:10.1002/dev.22233

Cited by 16 publications

(16 citation statements)

References 71 publications

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“…Indeed, infants’ evolving repertoires for action appear to spill over into their interactions with caregivers which in turn, results in new opportunities for development (see Iverson, 2021). When infants sit independently, for example, they are able to explore objects in more sophisticated ways (Soska et al., 2014), are more likely to receive opportunities for cognitive stimulation from their caregivers (Kretch et al., 2022), and more frequently engage in joint attention (Franchak et al., 2018). Thus, it is not surprising that research has uncovered longitudinal relations between sitting, spatial memory, and language (spatial and receptive; Libertus & Violi, 2016; Oudgenoeg‐Paz et al., 2015).…”

Section: Discussionmentioning

confidence: 99%

Dynamics of the dyad: How mothers and infants co‐construct interaction spaces during object play

Schneider

Roemer

Northrup

et al. 2022

Developmental Science

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Studies of dyadic interaction often examine infants’ social exchanges with their caregivers in settings that constrain their physical properties (e.g., infant posture, fixed seating location for infants and adults). Methodological decisions about the physical arrangements of interaction, however, may limit our ability to understand how posture and position shape them. Here we focused on these embodied properties of dyadic interaction in the context of object play. We followed 30 mother–infant dyads across the first year of life (at 3, 6, 9, and 12 months) and observed them during 5 min of play with a standard set of toys. Using an interval‐based coding system, we measured developmental change in infant posture, how mothers and infants positioned themselves relative to one another, and how they populated interaction spaces with objects. Results showed that mother–infant dyads co‐constructed interaction spaces and that the contributions of each partner changed across development. Dyads progressively adopted a broader spatial co‐orientation during play (e.g., positioned at right angles) across the first year. Moreover, advances in infants’ postural skills, particularly increases in the use of independent sitting in real time, uniquely predicted change in dyadic co‐orientation and infants’ actions with objects, independent of age. Taken together, we show that the embodied properties of dyadic object play help determine how interactions are physically organized and unfold, both in real time and across the first year of life.

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Section: Discussionmentioning

confidence: 99%

Dynamics of the dyad: How mothers and infants co‐construct interaction spaces during object play

Schneider

Roemer

Northrup

et al. 2022

Developmental Science

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“…Can you make them spin? Push the car and make them spin!”) when infants are sitting relative to all other postures (e.g., supine, prone; Kretch et al, 2022). This suggests that caregivers are sensitive to the new possibilities for engagement that are presented by a sitting infant.…”

Section: Advances In Posture and Language Development: The Transition...mentioning

confidence: 99%

Developing language in a developing body, revisited: The cascading effects of motor development on the acquisition of language

Iverson

2022

WIRES Cognitive Science

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In the first years of life, infants rapidly acquire a series of new motor skills.They learn to sit independently, to walk with skill, and to engage in a wide variety of interactions with objects. Over these same years, infants also begin to develop language. These are not isolated events. In a complex developing system, even small changes in one domain can have far-reaching effects on development in other domains. This is the fundamental idea behind the rich framework known as the developmental cascades perspective. Here we employ this framework to show how early motor advances can exert downstream effects on the development of language. Focusing first on the emergence of independent sitting, then on the development of walking, and finally on changes in the ways in which infants act on and combine actions on objects, we describe how the nature and quality of infant actions change dramatically over the first few years and how this brings with it new possibilities for engaging the environment, more sophisticated ways of interacting with people, and significant alterations in communications directed by caregivers to the infant and coordinated with infant action in time and in meaning. The developmental cascades framework provides an approach for understanding how advances in motor skills influence communicative and language development, and more generally, for conceptualizing the constant, dynamic, and complex interplay between developing infants and their environments as it unfolds over time.

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“…They interact variously with objects, people, and their environments [9,10]. Postural control in sitting also enables the interaction promoting face-to-face exchange and joint attention with their caregivers [11].…”

Section: Postural Control and Sittingmentioning

confidence: 99%

“…Kretch et al [11] demonstrated that caregivers were most likely to provide learning opportunities when infants were sitting. Their findings suggest that early intervention should focus on improving postural control.…”

Section: Postural Control and Sittingmentioning

confidence: 99%

A family-tailored early motor intervention (EMI-Heart) for infants with complex congenital heart disease: study protocol for a feasibility RCT

Mitteregger

Dirks

Theiler³

et al. 2022

Pilot Feasibility Stud

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Background Children with congenital heart disease (CHD) undergoing open-heart surgery are at risk for developmental impairments with motor delay manifesting first and contributing to parental concerns. Only a few interventional studies aim to improve neuromotor development in infants with CHD with inconclusive results. We thus developed a family-tailored early motor intervention (EMI-Heart), which aims to promote motor development and family well-being in the first year of life after open-heart surgery. The primary aim described in this protocol is to evaluate feasibility of EMI-Heart. The secondary aim is to describe the difference between the intervention and control group in motor outcomes and family well-being at baseline, post-treatment, and follow-up. Methods This prospective, parallel single-center feasibility randomized controlled trial (RCT) will compare EMI-Heart with standard of care in infants with complex CHD. Sixteen infants and their families, randomly allocated to EMI-Heart or the control group, will participate within the first 5 months of life. Infants assigned to EMI-Heart will receive early motor intervention for 3 months. The intervention’s key is to promote infants’ postural control to enhance motor development and partnering with parents to encourage family well-being. Feasibility outcomes will be (a) clinical recruitment rate and percentage of families completing EMI-Heart, (b) average duration and number of sessions, and (c) acceptability of EMI-Heart using a parental questionnaire post-treatment, and descriptive acceptability of EMI-Heart to the pediatric physiotherapist. Secondary outcomes of the intervention and control group will be infants’ motor outcomes and questionnaires assessing family well-being at 3–5 months (baseline), at 6–8 months (post-treatment), and at 12 months of age (follow-up). We will evaluate feasibility using descriptive statistics. Non-parametric statistical analysis of secondary outcomes will assess differences between the groups at baseline, post-treatment, and follow-up. Discussion This feasibility RCT will provide information about a newly developed family-tailored early motor intervention in infants with complex CHD. The RCT design will provide a foundation for a future large-scale interventional trial for infants with CHD after open-heart surgery. Trial registration This study protocol (version 1.3, 01.02.2022) was approved by the Cantonal Ethics Commission Zurich (BASEC-Nr. 2019–01,787) and is registered by Clinicaltrials.gov (NCTT04666857).

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Infant posture and caregiver‐provided cognitive opportunities in typically developing infants and infants with motor delay

Cited by 16 publications

References 71 publications

Dynamics of the dyad: How mothers and infants co‐construct interaction spaces during object play

Dynamics of the dyad: How mothers and infants co‐construct interaction spaces during object play

Developing language in a developing body, revisited: The cascading effects of motor development on the acquisition of language

A family-tailored early motor intervention (EMI-Heart) for infants with complex congenital heart disease: study protocol for a feasibility RCT

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